| NPI | 1376129387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: AZ 31664) |
| Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics (Licence: AZ 31664) |
| Enumeration Date | 2021-03-20 |
| Last Update Date | 2021-03-20 |